The Waters Of Shelbyville, Llc is an average performer in CMS ratings, earning a C grade with a score of 58/100. Located in Shelbyville, Tennessee, the facility meets baseline standards across most quality metrics.
Staffing levels are a potential concern at The Waters Of Shelbyville, Llc, with 3.23 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 15 deficiencies at The Waters Of Shelbyville, Llc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.23 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.32 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.32 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.59 | 2.4 | Below Average |
| Weekend Total Nursing | 2.87 | 3.8 | Below Average |
| Weekend RN Hours | 0.22 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 28, 2023 · Quality of Life and Care Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Nov 28, 2023 · Quality of Life and Care Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 5, 2019 · Quality of Life and Care Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nov 5, 2019 · Nutrition and Dietary Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Nov 5, 2019 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.8% | 4.5% | Better |
| Falls with major injury | 4.6% | 3.0% | Worse |
| On antipsychotic medication | 8.9% | 14.5% | Better |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 6.8% | 14.0% | Better |
| Excessive weight loss | 6.8% | 7.5% | Average |
| New/worsened incontinence | 17.6% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 58 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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